Finding Your Next High-Cost Patients Early: Using Prediction to Rank, Evaluate & Act

About this Session

Risk-bearing organizations are accountable for every dollar of cost across their panel, but most prediction tools only flag one outcome at a time. This session shows how ACOs, MA/MSSP groups, health systems, and health plans can run prediction across every outcome that drives cost, avoidable utilization, undiagnosed disease, care gaps, and post-acute risk, and roll the results into a single score per patient. That score tells care teams exactly where to act first, and it does so within the budget constraints these organizations already operate under.

What We'll Cover:

• How to get ahead of avoidable utilization: Predicting admissions, ED visits, and overall costs months out, and seeing the drivers behind each one in time to act.

• Where accurate, defensible diagnoses come from: Surfacing undiagnosed conditions straight from the patient’s own record, with the evidence needed to set up the confirming visit.

• Which care gaps to act on first: Ranking open care gaps by how impactful they are on cost and incentive performance.

• How to prepare for CMS TEAM/CJR-X: Predicting post-op complications and discharge trajectory, before the admission even happens.

• How to see the whole patient in one number: Using a single global score to prioritize management across every health dimension.

• Why ROI shows up within the year: 20x the predictions at 1/20th the cost changes the economics of predictive decision support within your existing workflows.

Webinar Speakers

Dr. Rich Gliklich, Founder, OM1

Dr. Richard Gliklich, MD is the founder of OM1 and brings decades of experience in the areas of registries, outcomes, and analytics. He is senior editor of the landmark publication by the U.S. Agency for Healthcare Research and Quality (AHRQ) handbook "Registries for Evaluating Patient Outcomes: A User's Guide” and the PI for the Outcomes Measures Framework, which focuses on standardization of outcomes measurement. He has led several key national and international efforts focused on evaluating the safety, effectiveness, value and quality of healthcare. Dr. Gliklich also holds several patents for both health outcomes systems and medical devices.